Kurt A Edmark, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00002100 Issued in WA

Practice address

10519 20TH St SE
Ste #1
Lake Stevens, WA 98258-4769

Phone

(425) 397-4900

Fax

(425) 397-6900

NPI assigned

Mar 27, 2007

Last updated

Sep 30, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edmark Chiropractic PLLC

  • Chiropractor
  • Lake Stevens, WA
  • NPI 1144699190
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1790803468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10519 20TH ST SE",
            "address_2": "STE #1",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982584769",
            "telephone_number": "425-397-4900",
            "fax_number": "425-397-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10519 20TH ST SE",
            "address_2": "STE #1",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982584769",
            "telephone_number": "425-397-4900",
            "fax_number": "425-397-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMARK",
        "first_name": "KURT",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian R Douds, MS - CCC-SLP
• Douglas J Brajcich Jr & Julie Lum DMD P.C.
• Dr. Saqib Razzak, PLLC
• Lyman Charles Drown, ATC
• Edmark Chiropractic PLLC
• Esther Edwards
• Sidney Marion Elder-Hammond
• Judy Lee Elder, LMP
• Elite Sleep Supplies, LLC
• Elite Sleep, LLC

• Chiropractor in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.